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Rise and Shine

Saturday, November 1, 2025 • 10 Cheshvan 5786

10:30 AM - 11:30 AMOrange Library

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LEARNER # 1

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Please list any medicine allergies

This learner has or has not received their full COVID-19 vaccination.
LEARNER # 2

Please list any food allergies 

Please list any medicine allergies

This learner has or has not recevied their full COVID-19 vaccination.
LEARNER # 3

Please list any food allergies 

Please list any medicine allergies 

This Learner has or has not received full COVID-19 vaccinations.
LEARNER # 4

Please list any food allergies 

Please list any medicine allergies 

This Learner has or has not received full COVID-19 vaccinations.
LEARNER # 5

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Please list any medicine allergies 

Learner has received full COVID-19 vaccinations.
Total $
 
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Tue, October 28 2025 6 Cheshvan 5786